Anaes SAQs · Applied cardiovascular & respiratory physiology
Applied physiology of the elderly
Primary — cardiovascular (vessel stiffness, beta-sensitivity, baroreflex); respiratory (compliance, hypoxic drive 50 percent less, PPC risk); renal (GFR 1 mL per min per year, creatinine underestimates); hepatic (blood flow and Phase I slower); CNS (MAC 6 percent per decade, POCD); PK (more fat, less albumin, slower clearance); frailty stronger than age; delirium prevention.
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Prompt
Describe the age-related physiological changes relevant to anaesthesia (cardiovascular, respiratory, renal, hepatic, CNS and pharmacokinetic). Explain the concept of frailty and the risk of postoperative cognitive dysfunction.
Question
Describe the age-related physiological changes relevant to anaesthesia (cardiovascular, respiratory, renal, hepatic, CNS and pharmacokinetic). Explain the concept of frailty and the risk of postoperative cognitive dysfunction.[3]
[3]References6ShowHide
- [3]Cho J, et al. A High Frailty Burden is a Strong Predictor of Adverse Postoperative Outcomes in Geriatric Lumbar Spine Surgery: A Retrospective Cohort Study. Global Spine J, 2026.PMID 42359918
- [5]Chatziperi A, et al. Frailty Status and Preoperative Cardiac Risk Stratification in Older Adults Undergoing Noncardiac Surgery: A Multicenter Prospective Cohort Study. JAHA, 2026.PMID 42261947
- [6]Popovici SE, et al. EEG-Derived Entropy Monitoring During Propofol Sedation for ERCP: Sedation Profiles, Age-Related Effects, and Implications for Procedure-Specific Target Ranges. Medicina, 2026.PMID 42356061
- [2]Han X, et al. Prediction of Postoperative Pulmonary Complications in Geriatric Patients with Hip Fracture Using Lung Ultrasonography Score and Diaphragmatic Mobility. Clin Interv Aging, 2026.PMID 42078008
- [7]Lindeman RD. Changes in renal function with aging. Implications for treatment. Drugs Aging, 1992.PMID 1392223
- [8]Konstandi M, Johnson EO. Age-related modifications in CYP-dependent drug metabolism: role of stress. Front Endocrinol, 2023.PMID 37293497